Mrs Jacqueline D'orta, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Orlando, Florida. Her current practice location is
2301 Lake Weston Dr Apt 1212, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 312-0307.
Mrs Jacqueline D'orta is licensed to practice in Florida (license number MH18837) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023601754.
Healthcare Provider's Profile
Full Name | Mrs Jacqueline D'orta |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 2301 Lake Weston Dr Apt 1212, Orlando, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023601754
- Provider Enumeration Date: 02/13/2021
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274984091
- Enrollment ID: I20240105002539
Medical Identifiers
Medical identifiers for Mrs Jacqueline D'orta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023601754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | IM18837 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH18837 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jacqueline D'orta allows following entities to bill medicare on her behalf.
Entity Name | Aspire Health Partners, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821033903 PECOS PAC ID: 8325936446 Enrollment ID: O20040309000953 |
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Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline D'orta is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jacqueline D'orta, LMHC 2301 Lake Weston Dr Apt 1212, Orlando, FL 32810-4466 Ph: (407) 312-0307 | Mrs Jacqueline D'orta, LMHC 2301 Lake Weston Dr Apt 1212, Orlando, FL 32810-4466 Ph: (407) 312-0307 |
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